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Individual

ROBERT J BARANELLO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
2023-01094
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2023-01094
MEDICAL LICENSE
NC
Enumeration date
04/17/2018
Last updated
06/30/2023
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